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目的了解陕西省育龄妇女血清叶酸和血红蛋白水平。方法采用横断面调查,按人口比例随机抽取陕西省城市及农村20～49岁育龄妇女610名,测定其血红蛋白、血清铁蛋白和血清叶酸,分析比较城乡育龄妇女叶酸和血红蛋白水平及贫血患病率。结果城乡妇女平均叶酸水平分别为4.99和4.91μg/L;12.5%的育龄妇女患叶酸缺乏,叶酸缺乏比例随年龄减小而增加。陕南农村妇女叶酸缺乏比例最低为6%;关中农村为14.4%,陕北农村为16.9%。城乡妇女的血红蛋白平均水平分别为122.0和123.1g/L,贫血患病率为36.4%,铁缺乏性贫血患病率为15.7%;陕北农村妇女贫血患病率为19.5%,陕南农村为38.0%,关中农村为44.8%。结论叶酸和铁缺乏在育龄妇女中普遍流行,陕北和关中是叶酸缺乏的高发地区,关中和陕南是贫血的高发地区。
Objective To understand the serum levels of folate and hemoglobin in women of childbearing age in Shaanxi Province. Methods By cross-sectional survey, 610 women of childbearing age from 20 to 49 in urban and rural areas of Shaanxi Province were randomly selected according to population proportion. The levels of hemoglobin, serum ferritin and serum folate were measured. The levels of folic acid and hemoglobin and the prevalence of anemia . Results The average folic acid levels in urban and rural women were 4.99 and 4.91 μg / L, respectively. Folic acid deficiency was found in 12.5% of women of childbearing age and the proportion of folic acid deficiency increased with age. The lowest proportion of folic acid deficiency in rural women in southern Shaanxi was 6%, that in rural areas of Guanzhong was 14.4% and that in rural areas of northern Shaanxi was 16.9%. The average hemoglobin levels of urban and rural women were 122.0 and 123.1g / L respectively, the prevalence of anemia was 36.4% and the prevalence of iron deficiency anemia was 15.7%. The prevalence of anemia in rural women in northern Shaanxi was 19.5% 38.0% in rural areas and 44.8% in rural areas of Guanzhong. Conclusion Folic acid and iron deficiency prevalence in women of childbearing age, northern Shaanxi and Guanzhong is a high incidence of folic acid deficiency, Guanzhong and southern Shaanxi is a high incidence of anemia.